Karen A. McQuillan, RN, MS, CCRN, CNRN, Clinical Nurse Specialist, R. Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, CCRN, Research Nurse Specialist/Educator, Assistant Professor, Adjoint, University of Colorado Hospital and University of Colorado at Denver, College of Nursing, Aurora, CO and Eileen Whalen, RN, BSN, MHA, Vice President, Trauma, Emergency and Perioperative Services, University Medical Center, Tucson, AZ